Interventions to Prevent Catheter-Associated Blood-stream Infections: A Multicenter Study in Korea / 감염과화학요법
Infection and Chemotherapy
;
: 216-222, 2010.
Article
in English
| WPRIM
| ID: wpr-96937
ABSTRACT
BACKGROUND:
The purpose of this study was to determine the efficacy of infection-control interventions to decrease the incidence of catheter-associated bloodstream infections (CA-BSI) and to examine the sustainability of its effect during and after the intervention in Korea. MATERIALS ANDMETHODS:
We conducted a prospective multi-strategy intervention in intensive care units (ICUs) at 3 university hospitals in Korea. The intervention consisted of education and on-site training for medical personnel involved in catheter care, active surveillance, and reinforcement of current intervention in each unit. After the intervention of 3 months, we identified CA-BSI cases of each hospital using the electronic database for 6 months.RESULTS:
During the intervention, the number of CA-BSI decreased significantly compared to pre-interventional period (8.7 vs. 2.3 per 1,000 catheter days; rate ratio 0.28; 95% CI, 0.13-0.61). After the intervention, CA-BSI rate increased slightly, but was still significantly lower than that of pre-interventional period (4.3 per 1,000 catheter days; rate ratio, 0.49; 95% CI, 0.31-0.78). Reduction of gram-negative bacterial infections was noted during and after the intervention.CONCLUSIONS:
A multi-strategy approach to reduce CA-BSI could be implemented in diverse settings of medical and surgical units in Korea and decreased CA-BSI rates during the intervention.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reinforcement, Psychology
/
Incidence
/
Prospective Studies
/
Gram-Negative Bacterial Infections
/
Electronics
/
Electrons
/
Catheters
/
Hospitals, University
/
Intensive Care Units
/
Korea
Type of study:
Controlled clinical trial
/
Incidence study
/
Observational study
/
Prognostic study
Country/Region as subject:
Asia
Language:
English
Journal:
Infection and Chemotherapy
Year:
2010
Type:
Article
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